Individual provider · NPI-1
Shaneek Witherspoon
Day Training/Habilitation Specialist · Williamstown, NJ
NPI number1467230052
StatusActive
Last updated in NPPESSep 15, 2023
Details
- NPI
- 1467230052
- Entity type
- Individual (NPI-1)
- Name
- Shaneek Witherspoon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2023
- Certification date
- Sep 15, 2023
- Last updated
- Sep 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – |
Practice location
1034 N Main StWilliamstown, NJ 08094-3161
Phone 609-638-4180
Mailing address
41 Babcock LnWillingboro, NJ 08046-1603
Phone 609-638-4180
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